| NPI | 1700064482 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PHILIP TODARO President/Physician 229-246-4888 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 015330) | 
| Enumeration Date | 2008-02-05 | 
| Last Update Date | 2008-06-02 |